Getting to the bottom of buttock pain – Part 2
In this blog on causes of buttock pain, we’ll turn our attention to soft-tissue and nerve sources of nociception in presentations of buttock pain. We’ll also cover other sources of buttock pain not to be overlooked. In last month’s blog we explored lumbar, SIJ and hip joint related buttock pain. If you missed the first…
Read MoreGetting to the bottom of buttock pain
Getting to the ‘bottom’ of buttock pain can sometimes prove a diagnostic dilemma, due to the number of potential local sources of nociception and relative complexity in anatomical relationships within the posterior hip region. This is compounded by pelvic structures and more remote sources within the lumbar spine. Perhaps this conundrum sometimes leads health and…
Read MoreDiagnosing gluteal tendinopathy in clinical practice
Gluteal tendinopathy is the most common local condition associated with lateral hip pain presentations. While previously misunderstood as an isolated condition of the trochanteric bursa (trochanteric bursitis), there is now a substantial and growing body of scientific literature outlining definitions, diagnosis and treatment of gluteal tendinopathy and Greater Trochanteric Pain Syndrome (GTPS). Despite the availability…
Read MoreIliopsoas impingement after total hip replacement
What do your patients most look forward to once they have finally made the decision to take the leap into a surgical solution for end stage hip osteoarthritis? PAIN RELIEF! Of course, there are many functional and quality of life ambitions, but these are usually inextricably linked with relieving the pain of advanced arthritis. Failure…
Read MoreThings that go ‘click’ in the hip
While ‘clicky hips’ are often associated with acetabular dysplasia in infants, there are many things that go ‘click’ in the adult hip. Most of these are innocuous, but sometimes they are painful or of concern to the owner of the noisy hip. Sources of snapping or clicking in the hip may include: the psoas or…
Read MoreAcetabular Dysplasia – Are you seeing the whole picture?
June is Hip Dysplasia Awareness month. You may be aware of dysplasia, but are you seeing the whole picture? Acetabular dysplasia is one of the leading causes of hip instability and painful hip osteoarthritis and therefore awareness and early detection are of high importance. Dysplasia refers to abnormal growth, in this case of the bones…
Read More